Provider Demographics
NPI:1821166190
Name:SPERGEL, PAUL JAY (LPC,LMHC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JAY
Last Name:SPERGEL
Suffix:
Gender:M
Credentials:LPC,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OLD WOLFE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828-3213
Mailing Address - Country:US
Mailing Address - Phone:973-527-7072
Mailing Address - Fax:973-527-7073
Practice Address - Street 1:1 OLD WOLFE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828-3213
Practice Address - Country:US
Practice Address - Phone:973-527-7072
Practice Address - Fax:973-527-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPC02258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health